the resource allocation formula calculation june 2011

The Resource Allocation Formula Calculation

June 2011

Difference between recommended NRAC spend per head and an equal share (2011/12) - Population

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Difference between recommended NRAC spend per head and an equal share (2011/12) - Age sex

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Age-sex

Difference between recommended NRAC spend per head and an equal share (2011/12) - Age sex and MLC (cumulative)

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Age-sex

MLC

Difference between recommended NRAC spend per head and an equal share (2011/12) - MLC and UXC (cumulative)

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MLC

UXC

Difference between recommended NRAC spend per head and an equal share (2011/12)

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NRAC

Formula Structure

Population

Health Board Population %

Age/Sex Cost Weights

Relative need due to age/sex profile

X

Additional Needs

X Relative need due to MLC and other factors

X

Unavoidable Excess Costs

Relative cost of providing services to

different geographical

areas

= Weighted Share %

Care Programmes

The Resource Allocation formula covers six care programmes:

• Acute• Care of the Elderly• Mental Health & Learning Difficulties • Maternity• Community

• GP Prescribing

Hospital and Community Health Services (HCHS)

Prescribing

Weighting of Expenditure across Care Programmes

AcuteCare of

the Elderly

Mental Health & Learning Difficulties

MaternityCommunity

Travel-based

Community Clinic-based

Overall HCHS

GP Prescribing

51.0% 3.5% 12.3% 3.5% 10.9% 5.5% 86.7% 13.3%

Data Source: Costs Book, year ending 31st March 2008

GP Prescribing

• No adjustment is made for unavoidable excess costs

• Funds are allocated to Boards based on the location of GP practices within their area

• Prescribing formula only applies to the cost of prescriptions that are dispensed in the community (i.e. through a community pharmacist or GP)

• Hospital prescribing costs, although not separately identified within the formula, are included within the HCHS allocations

Formula Structure

Population




X

Additional Needs

X Relative need due to MLC and other factors

X




areas

= Weighted Share %

Populations – HCHS (1)

General Register Office for Scotland (GROS) mid year estimates & population projections

• Health Board and datazone populations (rebased)

• Used for the HCHS part of the calculation

Allocation year

Allocations run autumn of year

Projection base available

Projected year

Re-basing of projections

2009/10 2008 2007 2009 Re-based with 2007 MYE

2010/11 2009 2008 2010 Re-based with 2008 MYE

2011/12 2010 2009 2011 Re-based with 2009 MYE

2012/13 2011 2010 2012 Re-based with 2010 MYE2008

Mid-year Estimates (MYE) available

2006

2006

2008


For example, to re-base the 2006 based projection of 2010 populations using 2008 Mid Year Estimate (MYE) for the 2010/11 allocation year the calculation is:

(2008 MYE)

– (2006 based projection of 2008)

+ (2006 based projection of 2010)

• the re-base calculations are produced at health board level then compared to health board MYEs to create an adjustment factor

• This adjustment factor is used to calculate population projections by datazone as GRO do not publish projections at this level


Age (in years) 1 2 …….. 90 Total 1 2 …….. 90 TotalDatazone1 11 36 …….. 23 410 12 45 …….. 26 470 880Datazone2 10 12 …… 12 470 13 14 …… 14 502 972Datazone3 17 31 ……… 14 425 17 37 ……… 15 526 951

Age (in years) 1 2 …….. 90 1 2 …….. 90HB 1 1.01 0.99 ……. 1.03 1 0.99 ……. 1.04HB 2 0.98 1.02 ……. 1 0.99 0.98 ……. 0.99HB 3 1 0.97 …….. 0.99 1.03 1 …….. 0.97

datazone total mid-year estimates

Females (mid-year estimates population)

Males (adjustment factor ) Females (adjustment factor )

Males (mid-year estimates population)

Age (in years) 1 2 …….. 90 Total 1 2 …….. 90 TotalDatazone1 11.11 35.64 …….. 23.69 415.75 12 44.55 …….. 27.04 475.66 891.41Datazone2 9.8 12.24 …… 12 463 12.87 13.72 …… 13.86 495.15 958.15Datazone3 17 30.07 ……… 13.86 427.34 17.51 37 ……… 14.55 520.23 947.57

Females (re-based population projections) datazone total re-based population

Males (re-based population projections)

Populations – GP Prescribing (1)

Community Health Index (CHI) Data

• Provides information on all patients registered with a

GP in Scotland

• Practice population adjusted for list size inflation

• Rescaled to HCHS rebased population projections

• Used for the GP Prescribing part of the formula

Percentage difference between GROS population shares and CHI population shares (GROS minus CHI)

-1.0%

-0.8%

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Source: GROS June 2010 MYE compared to CHI July 2010 list sizes

Total populations: GROS 5.1m, CHI, 5.5m

Populations – GP Prescribing (2)

• The re-base calculations are produced by local council area then compared to local council area mid-year estimates (GROS) to create adjustment factor

• Adjustment factors produced for all combinations of local council area of residence, age and sex

• This adjustment factor is applied to the GP practice population

Population - Questions?

Resource Allocation FormulaAge/Sex Cost Weights

Population



Relative need due to age/sex profileX

Additional Needs

XRelative need due to MLC and other factors

X




areas

=Weighted Share %



Age/Sex Analysis

• The formula accounts for the effect of age differences on the cost of delivering different NHS services for each sex

• Older and very young people tend to consume

greater resources so the costs rise steeply with age

• Calculations are carried out for each care programme

Combining Costs & Activity Data

Example for the Acute care programme - Age/sex costs per head:

• Twenty age bands are used giving a total of 40 age/sex cost weights

• All are costs per head except maternity which is cost per birth

• Weights are multiplied through the NHS Board populations at datazone level (or births) to give an expected cost that takes into account different demographics

• The age-sex index for each datazone is the ratio of the datazone cost per head to the Scottish cost per head

Age Band 0-1 2-4 5-9

10-14

15-19

20-24

25-29

30-34

35-39

40-44

45-49

50-54

55-59

60-64

65-69

70-74

75-79

80-84

85-89 90+

Males 1051 282 218 204 202 211 218 252 295 328 382 491 624 868 1141 1467 1880 2383 2836 3277

Females 897 232 196 186 205 233 262 291 321 367 429 510 592 735 969 1211 1610 2111 2712 3072

Average costs by age & gender

Age sex cost curve (Acute care in Scotland)

£0

£500

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£3,000

£3,500

0-1 2-4 5-9 10-14

15-19

20-24

25-29

30-34

35-39

40-44

45-49

50-54

55-59

60-64

65-69

70-74

75-79

80-84

85-89

90+

Age Band

Ave

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Males

Females

Age/Sex Analysis - exampleAge group 1 2 …….. …….. 20 1 2 …….. …… 20

Acute cost per head (£) 1,051 282 …….. …….. 3,277 897 232 …….. ……….. 3,072

Age group 1 2 …….. …….. 20 1 2 …….. …….. 20

Total population

Datazone1 11 9 ……. ……. 2.5 14 10 ……. ……. 4 842

Datazone2 11 21 …….. ……. .0 12 21 ……. ……. 1 629

Datazone3 6 9 ……. ……. .0 10 17 …… ………. 1 814Scotland 60,478 87,118 ……. ……. 9,035 57,819 83,222 ……. ……. 25,599 5,201,829

Males (population) Females (population)

Males Females

Age group 1 2 …….. …….. 20 1 2 …….. …….. 20

Total Expected cost

Datazone1 11,600 2,597 8,202 12,599 2,385 13,483 168,464 Datazone2 11,599 5,845 - 10,798 4,772 3,371 168,464 Datazone3 6,327 2,620 - 8,998 4,057 3,371 125,844 Scotland 63,562,378 24,567,276 29,607,695 51,863,643 19,307,504 78,640,128 1,040,365,800

Males expected cost Females expected cost

Total Expected Cost

Total Population

Cost Per Head

Age Sex Index

Datazone1 168,464 842 200 1.00

Datazone2 168,464 629 268 1.34

Datazone3 125,844 814 155 0.77

Scotland 1,040,365,800 5,201,829 200 1.00

GP Prescribing – Age/Sex Analysis (1)

• Sample of 1,000 prescriptions per month over a year.• Pooling samples over the most recent 3 years are

used to produce cost per head by gender and age (9 age bands)

• The age-sex index for each practice is the ratio of the practice cost per head to the Scottish cost per head

Age group

(years) 0-4 5-14 15-24 24-34 35-44 45-54 55-64 65-74 75+

Males 31 29 52 69 120 184 280 465 570

Females 37 48 53 81 129 209 300 438 540

GP Prescribing - Age Sex Analysis (2)

Average costs by age & gender (GP prescribing)

Three years average age sex cost curve

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0-4 5-14 15-24 24-34 35-44 45-54 55-64 65-74 75+

Age (years)

co

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Males

Females

Variation in age-sex indices by care programme

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Community

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Comparison of age-sex indices for the different care programme, selected NHS Boards

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Borders Grampian Highland Orkney Western Isles Dumfries &Galloway

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Acute

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MH&LD

Maternity

Community

GP prescribing

Age Sex Adjustment - Questions?

Resource Allocation Formula Additional Needs

Population




X

Additional Needs

X

Relative need due to MLC and other factors

X




areas

=Weighted Share %

The Additional Needs - Morbidity and Life Circumstances (MLC)

• This adjustment takes into account factors that predict the need for healthcare in addition to the needs due to age and sex

• This index directs relatively greater resources towards Boards with higher additional needs

• The factors that best explain the variation in need for each care programme were identified using statistical linear and log linear regression analysis

The Additional Needs – small area indices

• The index is constructed at the intermediate data zone (IDZ) level (currently there are 1235 IDZs and 6505 data zones)

• Each data zone within an IDZ shares the same index value

• It is updated every three years

The Additional Needs Regression Indices

Regression Index Name Needs variables Topic Source Period

Acute/Care of the Elderly/GP Prescribing

All cause standardised mortality rate - age 75 and under Births & deaths ISD 2001-2005

Limiting long-term illness rate (age-sex standardised using 7yr age bands) Morbidity Census 2001

Mental Health & Learning Disabilities

Proportion claiming severe disablement allowance (% of 16+ population)

Claimant counts & economic indicators SNS 2004

Proportion in one person households Households Census 2001

Proportion in social rented housing Housing SNS 2001

Maternity

Mean House Price Housing SNS 1994-2005

Birth rate per female population Births & deaths GRO(Births) 2005

SEURC supplementary variable Rurality SNS 2004

SNS – Scottish Neighbourhood Statistics

The Additional Needs – Regression Analysis

Coefficients needs indices by diagnostic group using the acute regression index

Care Group\Diagnostic Group Constant Index Coefficient

Acute Cancer 1.003 0.038

Circulatory 1.012 0.107

Digestive 1.008 0.116

Injuries 1.004 0.113

Other Acute 1.004 0.092

Acute Outpatients 1.003 0.040

Respiratory 1.017 0.171

Care of the Elderly 1.029 0.089

Prescribing Cardiovascular 1.003 0.079

Central Nervous System

0.937 0.125

Gastro-intestinal 0.984 0.094

Infections 0.953 0.018

Musculoskeletal 1.019 0.133

Other Prescribing 1.021 0.069

Maternity coefficients of needs index using the maternity regression index and supplementary variable for Maternity

Variable Value

Maternity - Constant 1.011

Maternity - Index Coefficient -0.034

Maternity - Supplementary Variable*: SEURC 1 0.000

SEURC 2 0.055

SEURC 3 0.036

SEURC 4 0.132

SEURC 5 0.033

SEURC 6 0.097

Care Group/Diagnostic Group Constant Index Coefficient

Mental Illness and Learning difficulties*

-0.223 0.139

Coefficients needs indices by diagnostic group using the mental health regression index

The Additional Needs (1)

Needs

Utilisation

1Nationalaverage


Needs

Utilisation

1

* Repeat for each diagnostic group


DiagnosticGroup

A

B

Utilisation

1

Needs


DiagnosticGroup

A

B

Utilisation

1

IDZ 1

0.85

Needs

MLC = constant + Coefficient*need


DiagnosticGroup

A

B

Utilisation

1

IDZ 1

MLC = 0.95

Needs

MLC = constant + Coefficient*need

Average across acute diagnostic groups (weighted by costs)

…….

respiratory heart cancer other

0.95 0.85 1.1 1.0

0.90IDZ Acute MLC index =

The Additional Needs Indices

• Acute, Care of the Elderly & GP Prescribing: using Acute Regression Index MLC Index = constant + Coefficient*Index

• Mental Health & Learning Difficulties: using Mental Health Regression IndexMLC Index = Exp (constant + Coefficient*Index)

• Maternity: using Maternity Regression IndexMLC Index = constant + Coefficient*Index + Maternity supplementary variable coefficients

Community Additional Needs Index

InCare Group/Diagnostic group Cost weighting %

AcAcute Outpatients

59.49AcCare of the elderly

15.18MeMental health & learning difficulties

20.39MaMaternity

4.94

Cost weightings for community needs index

The additional needs index for community is calculated by combining MLC indices from the four groups ‘acute outpatients’, ‘care of the elderly’, ‘mental health & learning difficulties’ and ‘maternity’ by using community weightings as shown below:

MLC indices by care programme

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GP prescr

MLC indices for different care programmes, selected NHS Boards

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Acute

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MH&LD

Maternity

Community

GP presc

Additional Needs - Questions?

Resource Allocation FormulaUnavoidable excess costs adjustments

Population




X

Additional Needs

X

Relative need due to MLC and other factors

X




areas

=Weighted Share %

Unavoidable Excess Cost Adjustments

• Indices are calculated annually to adjust for the unavoidable excess costs of delivering services in to different geographical areas

• Separate indices are calculated for hospital and community activity

• For hospital activity, indices are calculated for each of the four care programmes (acute, mental health & learning disabilities, care of the elderly and maternity)

• For community services, indices are calculated for clinic based and travel based services

Hospital Unavoidable Excess Cost (1)

• Cost ratio to analyse the variation in local costs relative to the costs for the same service at national average unit costs

• Produced by urban - rural category in which the data zone lies

• The index provides a better reflection of all unavoidable excess costs of supplying health services rather just remoteness

Hospital Unavoidable Excess Cost (2)Scottish Executive Urban Rural Categories (SEURC):

Primary CitiesUrban SettlementsSmall towns – accessibleSmall towns – remoteSmall towns – very remote – mainlandSmall towns – very remote – islandRural areas – accessibleRural areas – remoteRural areas – very remote – mainlandRural areas – very remote – island

Hospital Unavoidable Excess Cost (3)

1 2 3 4 5 6 7 8 9 10Ayrshire & Arran - 58% 19% 3% - - 17% 1% - 2%Borders - 25% 19% 5% - - 44% 7% - -Fife - 62% 18% - - - 21% - - -Greater Glasgow & Clyde 80% 14% 4% - - - 2% - - -Highland - 21% 7% 7% 12% 2% 13% 9% 24% 4%Lanarkshire 40% 39% 9% - - - 12% - - -Grampian 37% 11% 15% 4% - - 24% 8% 1% -Orkney - - - - - 31% - - - 69%Lothian 59% 21% 10% 2% - - 7% 1% - -Tayside 39% 26% 10% - - - 21% 4% 0% -Forth Valley - 71% 10% - - - 17% 2% - -Western Isles - - - - - 30% - - - 70%Dumfries & Galloway - 29% 18% 5% - - 28% 20% - -Shetland - - - - - 32% - - - 68%Scotland 39% 29% 10% 2% 1% 1% 13% 3% 2% 1%

* Key to categories1 = Primary cities. 6 = Island very remote small towns.2 = Urban settlements. 7 = Accessible rural areas.3 = Accessible small towns. 8 = Remote rural areas.4 = Remote small towns. 9 = Mainland very remote rural areas.5 = Mainland very remote small towns. 10 = Island very remote rural areas.

Health BoardSEURC categories*

Percentages Health Board’s resident in each urban-rural category

Hospital Unavoidable Excess Cost (4) – Example: Acute care programme

Excess Costs index = 0.98

Datazone Local cost National cost Ratio SEURC SEURC description1 1,209,638 1,448,280 0.84 3 Small towns – accessible 2 698,237 704,695 1 7 Rural areas – accessible3 1,975,964 1,960,365 1.01 3 Small towns – accessible 4 1,121,826 1,093,976 1.03 2 Urban Settlements5 1,339,308 1,357,458 0.99 1 Primary Cities6 1,811,989 1,983,150 0.92 1 Primary Cities7 1,907,485 1,409,637 1.36 10 Rural areas – very remote – island8 1272175 1236150.57 1.04 4 Small towns – remote. . . . .. . . . .. . . . .. . . . .

6505 1087565.2 1285651.24 0.85 5 Small towns – very remote – mainland

Datazone SEURC1 33 315 337 359 369 3116 3405 3

. .

. .

. .

. .6115 3

SEURC SEURC descriptionAcute excess

cost index

1 Primary Cities 1.012 Urban Settlements .993 Small towns – accessible .984 Small towns – remote .975 Small towns – very remote – mainland 1.036 Small towns – very remote – island 1.087 Rural areas – accessible .988 Rural areas – remote .989 Rural areas – very remote – mainland 1.0110 Rural areas – very remote – island 1.12

Community Unavoidable Excess Cost (1)

Travel based services

Travel Simulation Model based on:

• Census output areas (~ 42,604 output areas ) data

• Data about drive time to small settlement’ (3000+ people) or ‘large settlement’ (10,000+ people) size

• Assumptions about contact duration, setup time, Island contact time, base location & proportion of home visit

• Population weighted by age-sex

Community Unavoidable Excess Cost (2) – Travel based services adjustment

Community Psychiatric Team 13.5 45 5 15 / 20 (Urban) 120 3,000 50 90

Physiotherapy 2.2 60 5 15 / 20 (Urban) 120 3,000 50 50

Occupational Therapy 1.3 60 5 15 / 20 (Urban) 120 3,000 50 50

District Nursing 15.2 29 5 15 / 20 (Urban) 120 3,000 91 91

Health Visiting 7.7 29 5 15 / 20 (Urban) 120 3,000 48 90

Speech Therapy 1.8 29 5 15 / 20 (Urban) 120 10,000 25 90

Addiction Services 2.6 50 5 15 / 20 (Urban) 120 10,000 25 25

Chiropody 2.4 29 5 15 / 20 (Urban) 120 10,000 25 90

Midwifery 2.9 29 5 15 / 20 (Urban) 120 10,000 25 25

Dietetics 0.7 29 5 15 / 20 (Urban) 120 10,000 35 35Community Learning Disabilities Teams 2.7 29 5 15 / 20 (Urban) 120 10,000 70 70

Large Settlement Services 47 29 5 15 / 20 (Urban) 120 10,000 25 25

Within-Settlement Travel Time (min)

Island Contact Time (min)

Base Location (Settlement)

Home-Visits (%)

Rural Home-Visits (%)Service

Expenditure Weight (%)

Contact Duration (min)

Setup Time (min)

Community Unavoidable Excess Cost (3)Clinic based services

• For clinic based services the costs of providing services in remote general practices taken from the Scottish Allocation Formula (SAF)

• SAF - Scottish version of the UK General Medical Services Formula

• Take remote and rural need index from SAF report

• Take CHI populations extract by GP practice & data zone

Community Unavoidable Excess Cost (4)Clinic based services

• Map GP practice level index to CHI file then average to data zone, using a weighted average of index weighted by population per practice

• Convert the needs index to a relative index by dividing through by the national average value, e.g. to get 1.05 etc where Scotland is 1

GP Prescribing – Unavoidable Excess Costs

• The GP prescribing excess cost index is set to one for all practices as prescriptions are reimbursed at national fixed prices

Different unavoidable excess cost indices by care programme

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60%

Acute

COTE

MH&LD

Maternity

Community travel

Community clinic

Unavoidable excess costs indices by care programme, selected NHS Boards

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60%

Ayrshire &Arran

Borders Grampian Highland Orkney WesternIsles

Dumfries &Galloway

Shetland

Acute

COTE

MH&LD

Maternity

Community travel

Community clinic

Unavoidable Excess costs - Questions

Overall Results • The indices for HCHS and GP Prescribing parts of

the formula are calculated separately

• Final index for age/sex, additional needs and unavoidable excess cost at data zone level/GP practice are produced by using care programme weightings from the Costs Book to combine all different care programme indices

• The indices are relative to the Scottish average value equal to 1.0

Data Sources

• Costs data is based on the Scottish Health Service Costs Book

• Activity data:

- Healthcare data for individual patients is collected as a series of Scottish Morbidity Records (SMR)

- Other data sources, including • Practice Team Information (PTI)• General Register Office (GRO)

Data SourcesCosts dataHospital

SFR 5.3 Inpatient total net expenditure by specialtySFR 5.5 Daycase total net expenditure by specialtySFR 5.6 Outpatient Treatment total net expenditure by specialtySFR 5.7 Outpatient Consultant Clinics total net expenditure by specialtySFR 5.7n Nurse-Led Outpatient Clinic total net expenditure by specialtySFR 5.9 Day Patient total net expenditure by Specialty

Community

SFR 8.3 Community Health Services Expenditure by service

Data Sources – Hospital Activity data

Care Programme Patient Type Data Scheme Activity used to proportion costs

Acute Daycases SMR01 Discharges

Inpatients SMR01 Discharges for total cost, length of stay for variable cost

Outpatients/Daypatients SMR00 New outpatient attendances

Care of the Elderly

Inpatients SMR50 Length of stay

Mental Health & Learning Disabilities

Inpatients SMR04 Length of stay


Maternity Inpatients/Daycases SMR02 Discharges for total cost, length of stay for variable cost

SMR01 (abortions)

Discharges for total cost, length of stay for variable cost


Births GRO Births

Cost Source of Scotland level patient activity profiles by age-sex

District nursing District nurse patient contacts from Practice team Information (PTI)

Health visiting Health visitor patient contacts from PTI

Midwifery New outpatient attendances for obstetric services

Psychiatric team Patient contacts from PTI for mental health

Learning difficulties team New outpatient attendances for learning difficulties services

Child health Population aged 14 and under

Specialist nursing Patient contacts from PTI

Addiction services Drug and alcohol misuse data

Family planning Female population aged 15-44

Allied health professionals (AHPs)

Clinical psychology All staff contacts from PTI

Physiotherapy All staff contacts from PTI

Occupational therapy

All staff contacts from PTI

Chiropody All staff contacts from PTI

Dietetics All staff contacts from PTI

Speech therapy All staff contacts from PTI

Other services

Community dentistry

Patients treated in the community dental service

Home dialysis Population aged 50-65

Breast screening Female population aged 50-69

Incontinence Population aged ≥65

Health promotion Population all ages

Other Total patient contacts from PTI

Data Sources: Community activity

Bring all pieces together

• Population • Age sex adjustment • Additional needs adjustment

• Unavoidable excess costs adjustment

HCHS & GP prescribing

HCHS only

HCHS part of the formula (1)

For each formula component the final index is calculated using the individual care programme indices and weights

All indices shown within the flowchart are comparable to a Scotland index of 1.00

HCHS part of the formula (2)

Adjusted population is calculated by multiplying the final indices for three formula’s components by crude population

HCHS Target Shares – 2011/12HCHS

HB HB name Population

Share1

Age-sex share

Age-sex and MLC share

Overall share

A Ayrshire & Arran 7.02% 7.31% 7.38% 7.36%

B Borders 2.18% 2.32% 2.09% 2.10%

F Fife 7.00% 7.12% 6.93% 6.87%

G Greater Glasgow & Clyde 22.93% 22.23% 24.40% 24.15%

H Highland 5.99% 6.34% 5.94% 6.36%

L Lanarkshire 10.80% 10.53% 10.98% 10.88%

N Grampian 10.54% 10.49% 9.67% 9.65%

R Orkney 0.38% 0.41% 0.37% 0.43%

S Lothian 16.05% 15.46% 14.95% 14.80%

T Tayside 7.71% 8.11% 7.91% 7.88%

V Forth Valley 5.63% 5.54% 5.49% 5.46%

W Western Isles 0.50% 0.55% 0.53% 0.62%

Y Dumfries & Galloway 2.84% 3.15% 2.97% 3.00%

Z Shetland 0.42% 0.43% 0.39% 0.46%

GP Prescribing Target Shares – 2011/12

Prescribing

HB Health Board Population Share1 Age-sex share Age-sex and MLC

shareOverall share

A Ayrshire & Arran 7.03% 7.50% 7.63% 7.63%

B Borders 2.15% 2.38% 2.03% 2.03%

F Fife 6.98% 7.11% 6.90% 6.90%


H Highland 5.96% 6.55% 6.03% 6.03%

L Lanarkshire 10.71% 10.46% 11.38% 11.38%

N Grampian 10.51% 10.47% 9.30% 9.30%

R Orkney 0.38% 0.42% 0.38% 0.38%

S Lothian 16.06% 15.04% 14.20% 14.20%

T Tayside 7.69% 8.11% 7.66% 7.66%

V Forth Valley 5.72% 5.68% 5.62% 5.62%

W Western Isles 0.50% 0.57% 0.55% 0.55%


Z Shetland 0.42% 0.44% 0.38% 0.38%

Unified Budget Target Shares – 2011/12

Total

HB Health Board Population Share1 Age-sex share

Age-sex and MLC share

Overall share

A Ayrshire & Arran 7.02% 7.34% 7.41% 7.40%

B Borders 2.18% 2.33% 2.08% 2.09%

F Fife 7.00% 7.12% 6.92% 6.87%


H Highland 5.99% 6.37% 5.96% 6.31%

L Lanarkshire 10.78% 10.52% 11.03% 10.95%

N Grampian 10.54% 10.49% 9.62% 9.60%

R Orkney 0.38% 0.41% 0.37% 0.42%

S Lothian 16.05% 15.40% 14.85% 14.72%

T Tayside 7.71% 8.11% 7.87% 7.85%

V Forth Valley 5.64% 5.56% 5.51% 5.48%

W Western Isles 0.50% 0.55% 0.53% 0.61%


Z Shetland 0.42% 0.43% 0.39% 0.45%

Percentage change in per capita funding due to the resource allocation formula

-15.00%

-10.00%

-5.00%

0.00%

5.00%

10.00%

15.00%

20.00%

25.00%

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Questions?

Further Information

• Queries – [email protected]

• 0131 275 6719 / 0131 275 6117

• www.nrac.scot.nhs.uk

• www.tagra.scot.nhs.uk

mailto:[email protected]

http://www.nrac.scot.nhs.uk/

http://www.tagra.scot.nhs.uk/

the resource allocation formula calculation june 2011

Documents

formula slide

calculation slide

level slide

populations gp prescribing

gp practice population

populations hchs

population questions

community health services